Individual
DAVID E LIZOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
201 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-3841
(502) 588-7600
Mailing address
201 ABRAHAM FLEXNER WAY STE 1200, LOUISVILLE, KY 40202-3841
(540) 564-5791
(502) 583-8389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002429
VA
363A00000X
Physician Assistant
Primary
PA1882
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110002429
PA LICENSE
VA
01
—
1027307
NCCPA CERTIFICATION #
—
05
—
1598826299
—
VA
Enumeration date
12/13/2006
Last updated
11/30/2023
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